Addendum to the Supporting Statement

Addendum to Supporting Statement 0960-0534.doc

Waiver of Right to Appear--Disability Hearing

Addendum to the Supporting Statement

OMB: 0960-0534

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Addendum to the Supporting Statement for Form SSA-773-U4

Waiver of Right to Appear – Disability Hearing

20 CFR 404.913-.914, 404.916(b)(5), 416.1413-.1414, 416.1416(b)(5)


OMB No. 0960-0534



Minor Revisions to the Collection Instrument


SSA is making the following revisions:


SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on form.


File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
Last Modified By889123
File Modified2015-02-05
File Created2015-02-05

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